| Name Of the Firm : | Maa Bhawani Medical Store |
| Zone : | South Zone |
| Range : | Nuapada |
| Police Station : | |
| Address : | Plot No- 1845, Khata No- 134, Thana No- 29, At/po- Boden |
| RP Name : | Suresh Chandra Sahoo |
| Registration Number : | 13586 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Dr. Amulya Narayan Panda |
| R : | SL-NU-2441R |
| RC : | SL-NU-2442Rc |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/15/2005 |
| Date of Expiry : | 2/14/2015 |
| Remarks : |